Individual
DR. KENNETH WALTER WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3250 GATEWAY BLVD, #152, PRESCOTT, AZ 86303-6849
(928) 442-9202
(928) 442-3980
Mailing address
6584 E STRATFORD DR, PRESCOTT VALLEY, AZ 86314-3825
(928) 442-9202
(928) 442-3980
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AZ1119
AZ
Other
Enumeration date
03/31/2007
Last updated
07/08/2007
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